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PODCAST

Healthcare Reframed

Health and the delivery of healthcare are topics of importance around the globe. There is little debate that much of the world, and much of the United States, feels that their healthcare system needs to improve and perhaps even to change dramatically. The US healthcare system is our focus, and it has the dubious distinction of generating worse outcomes at greater cost than any peer nation. Why is that? What can we do about it? Why have we all been talking about this for what seems like forever and

health & fitness medicine

All Episodes

58:23

Medical Mistrust: The Social Determinant of Health We...

Healthcare Reframed ·

2025/11/25

What if the biggest driver of poor health isn't just housing, food, or income – but mistrust? In this episode, host Judson Howe sits down with Dr. Katherine Gergen Barnett (KGB) – family physician, health policy leader, and community-based researcher at Boston Medical Center – to unpack medical mistrust as a social determinant of health and what it really takes to rebuild trust in the exam room and beyond. Drawing on two decades in primary care, Dr. Gergen Barnett shares how: • Mistrust quietly

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01:26:36

Reimagining Primary Care: How Family Medicine Can Fix...

Healthcare Reframed ·

2025/11/11

Why would two elite physicians walk away from millions to fix healthcare's broken heart? In this compelling episode, Judson Howe sits down with Dr. Asaf Bitton and Dr. Bruce Finke of Ariadne Labs – two visionary leaders who chose purpose over profit – to challenge everything we think we know about American healthcare. Drawing on decades of experience at Harvard, the Indian Health Service, and the frontlines of innovation, Dr. Bitton and Dr. Finke reveal how the true currency of healthcare isn't

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01:44:41

D.C. Is Cutting Health Funding — Who Keeps Us Healthy...

Healthcare Reframed ·

2025/10/28

Discover the framework reframing U.S. health from "sick care" to well-being. In this feature-length conversation, host Judson Howe sits down with Becky Payne (20 years at CDC; now at The Rippel Foundation) to explore the Vital Conditions for Health & Well-Being, why Belonging & Civic Muscle sits at the center, and how Shared Stewardship helps leaders bridge divides and shift dollars from perpetual emergencies to prosperity. Inside: what went wrong in COVID communications, what communities can do

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01:23:51

A Costly Paradox: More Spending, No Better Health. -...

Healthcare Reframed ·

2025/10/06

Is more healthcare always better healthcare? Dr. Elliott Fisher has spent decades uncovering why high-spending regions fail to deliver better care or longer lives — and what this means for patients and policymakers. In this episode of Healthcare Reframed, Fisher shares the inside story of how one 1973 paper shook the medical world, why towns with the same people and same hospitals have 10× differences in surgery rates, and what it really takes to align incentives so care becomes safer, kinder, and

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01:31:55

Mission Drives Margin: A Former CEO’s Playbook to Fix...

Healthcare Reframed ·

2025/09/19

Rick Rawson on Healthcare Reframed Production: Healthcare Reframed — Micah Buller | Todd Carpenter | Lindsay Swain Hunt Rick Rawson explains why cutting costs and chasing transactions made hospitals weaker—and how a community-first, mission-driven strategy tripled revenue, rebuilt trust, and grew access across rural towns. What You’ll Learn Escape the cut-to-survive trap with “make the hose bigger” growth Why consolidation erodes trust—and how to return power to communities Turning mission

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01:15:30

From Power Imbalance to Partnership — Dartmouth’s Dr....

Healthcare Reframed ·

2025/09/12

World leader in shared decision-making Dr. Glyn Elwyn (Dartmouth) joins Judson to unpack co-production in healthcare: what it looks like in real visits, why simple tools like Option Grid change choices, and how SDM can protect clinicians from burnout and moral injury while improving outcomes and patient trust. Glyn traces his path from rural Wales—through a lab explosion, an arts degree, and a “back-door” into medicine—to building the field’s most used measures (Observer OPTION-5, CollaboRATE) and

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14:32

Ex-Health System CEO: “Government Won’t Fix...

Healthcare Reframed ·

2025/09/04

In this Healthcare Reframed You’ll learn why waiting on DC won’t transform care, how boards and big balance sheets can drive value (not just volume), what “one foot in Blockbuster, one in Netflix” means for strategy, and the inner work required to lead authentically at $2B+ scale. Essentials are short episodes focused on essential takeaways from past full-length Healthcare Reframed episodes. Watch the full-length episode: https://www.youtube.com/watch?v=nZ-3Q6ThgFM What you’ll learn • Why policy

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59:21

You Can’t Buy Health at a Hospital | Healthcare...

Healthcare Reframed ·

2025/08/28

The U.S. healthcare system has no shortage of resources, talent, or ambition. Yet for patients and families, it too often delivers fragmentation, frustration, and suffering. Few leaders have both lived that failure personally and reshaped the system globally as Maureen Bisognano. • Former President and CEO of the Institute for Healthcare Improvement (IHI), where she co-led the landmark 100,000 Lives Campaign, saving more than 122,000 patients in 18 months. • Nurse, hospital executive, and global

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01:16:06

The Doctor Rewriting Healthcare Incentives | Brandon...

Healthcare Reframed ·

2025/08/21

35% of American physicians have considered leaving medical practice since the start of 2025, with burnout as the top reason (MedCentral, 2025). Patients wait months for primary care. Physicians see thirty patients a day. Insurance premiums climb faster than wages. Hospitals lose money on the very service that should prevent admissions in the first place. A quiet but growing group of physicians, entrepreneurs, and community leaders are asking the obvious: “Why do we keep doubling down on a model

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01:27:51

How Sweden Built One of the World’s Best Health...

Healthcare Reframed ·

2025/08/14

In this episode of Healthcare Reframed, host Judson Howe talks with Göran Henriks, former Chief Executive for Learning & Innovation in Sweden’s Jönköping Region, about how Sweden built one of the most high-performing healthcare systems in the world. Henriks shares actionable lessons for healthcare executives, policymakers, and clinicians on creating sustainable, value-based care models that deliver better outcomes at lower cost. You’ll hear how the Esther Project transformed care delivery

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01:36:06

The Nuka Revolution: Putting the Patient Back in the...

Healthcare Reframed ·

2025/07/31

Does this Alaska healthcare system have the blueprint to save the American healthcare crisis? Discover the story behind the health‑care system that Harvard, the Institute for Healthcare Improvement, and two U.S. Baldrige Awards all cite as living proof that American medicine can reinvent itself—even in one of the most rugged, under‑resourced corners of the map. In this feature‑length conversation, host Judson Howe travels to Anchorage to sit down with Dr. Doug Eby (Executive Vice President for

en-us

01:12:49

Beyond “No Margin, No Mission”: A New Playbook for...

Healthcare Reframed ·

2025/07/24

This week’s conversation is with Somava Saha of Well-being and Equity (WE) in the World. Why this conversation matters: Every year, U.S. health-system CEOs, their teams, and their boards, huddle in conference rooms late at night, with copious amounts of coffee, to finalize budgets that will govern billions in spend, dictate thousands of jobs, and silently decide which life-saving services will receive investment for the subsequent year. In parallel, a growing chorus of physicians, clinicians,

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12 results

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